19 year old having fever and cough since 15 Days
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. A 19 year old girl, hailing from Narketpally, came to the OPD with chief complaints of fever and cough since 15 days HOPI: patient was apparently asymptomatic 7 months back she developed fever, after the fever subscied she started having pain in the small joints PIP, DIP, MIP etc. Subcided with medication and relapse after stopping the medication.patient had h/o of migratory polyarthritis, h/o of dragging type of pain in both lower limbs( ankle joint spared), h/o of decreased a